Active NPI
Evan Rocco Pagano, DDS
- Dentist
- North Charleston, SC
National Provider Identifier
1215502968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9923
- Practice address
- 7398 Rivers Ave
North Charleston, SC 29406-4613 - Phone
- (843) 405-5800
- NPI assigned
- May 25, 2021
- Last updated
- Jun 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9923 | SC | Primary |
Addresses
Primary practice location
7398 Rivers Ave
North Charleston, SC 29406-4613
Mailing address
1016 S 4TH St
Milwaukee, WI 53204-1727
Phone (608) 320-5530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9923 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jebediah S. Christy, D.D.S.- North Charleston, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- North Charleston, SC
- NPI 1811433725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623628800000",
"number": "1215502968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 S 4TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532041727",
"telephone_number": "608-320-5530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7398 RIVERS AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064613",
"telephone_number": "843-405-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAGANO",
"first_name": "EVAN",
"middle_name": "ROCCO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-25",
"last_updated": "2021-06-14",
"certification_date": "2021-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "9923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
- Lesley Platt Owens, RN
- Francis Patterson Owings, MD
- Sarah L Oxendine
- Pace Health Services, Inc. (Pace Prosthetics)
- Lisa Pace, BCABA
- Alexis J Page, M.S. CCC-SLP
- Aaron Pagliaro, RN
- Pain Care Network LLC
- Pain Specialists of Charleston (Psychiatry Specialists of South Carolina)
- Pain Specialists of Charleston (Pain & Neurology Specialists of Charleston)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.